| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,264.72 | $1,264.72 | $2,300.00 | |
CareSource
| Facility | $1,252.00 | $1,444.55 | $1,573.86 | |
Cigna
| Facility | $1,348.10 | $1,348.10 | $1,348.10 |
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,264.72 | $1,264.72 | $2,300.00 | |
CareSource
| Facility | $1,252.00 | $1,444.55 | $1,573.86 | |
Cigna
| Facility | $1,348.10 | $1,348.10 | $1,348.10 |